Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.

More about Dr. Rakesh Prasad

Dr. Rakesh Prasad is an experienced Psychiatrist in Sector-40, Gurgaon. He is currently practising at Asha USA Multispeciality Clinic in Sector-40, Gurgaon. You can book an instant appointment online with Dr. Rakesh Prasad on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 27 years of experience on Lybrate.com. You can find Psychiatrists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Hi, firstly, I appreciate you for having taken the initiative to express your issues/ concerns and seek help. Your symptoms are indicative of you being depressed. I would advise you to meet up a psychologist/ psycho-therapist with no further delay. He/ she may advise diagnostics & prescribe mood elevating medications/ anti-depressants as appropriate. Also, should it require, he/ she may refer you to a endocrinologist/ or any other physician for consultation as apropos. Simultaneously, however, keep up your dietary habits, lifestyle & hobbies. Do exercise/ walk regularly for at least 30 minutes. Yogasanas/ pranayams can also help you relax, de-stress and keep you focused even during these tough times. At the same time, a trip to some hill station or some scenic natural place can help you relax, rejuvenate, connect with self, think clearly and have a fresh perspective. Do remain mentally strong, believe in yourself, and have faith and hope that this condition is treatable and shall definitely resolve soon with appropriate medical intervention. Life is indeed beautiful, and you must try enjoying every moment of it irrespective. Hope this helps. Looking forward to you getting well soon. Take care and all the very best.

Vocal nodule unless it becomes hardened can be made to resolve by voice rest and preventing voice abuse. Are you a singer. Since vocal chords are a sensitive area, better get 2nd opinion before proceeding to surgery. All the best.

Dear , Smoking weed is a substance abuse disorder and comes under addiction disorder. You are addicted to weed and therefore, you should consult a deaddiction specialist for deaddiction treatment. You may stop it abruptly, but there is a possibility of withdrawal symptoms and relapse. Take care.

Ideally you must spend a lot of time convincing him to stop the smoking. Of course he will agree sometimes and sometimes he will change his mind. Giving up is difficult but if you highlight the dangers of smoking regularly he may one day decide to quit. Never give up on him. Because of his age and quantity of cigarettes smoked and the length of abuse, he will find is even harder. When quitting, he must take one day at a time. If he looks too far ahead he will get discouraged and will give up. If he sits and counts the number of days he has given up, that will also focus too much on achievement. He must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if he fails one day, he must try and try again. Very few people succeed in their first attempt. His persistence and yours will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact these conditions can exist all through the day unlike other addictions. But his desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms him about continuing in the habit. The information is really scary but true and he must remind himself about this every day. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. So he must avoid it like the plague: it is just very bad medicine for him. In fact it is highly toxic too. He will need to stop smoking or consuming any tobacco related items with immediate effect. He should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time he feels like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. He may also take hard candy or chewing gum. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. He may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep him occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that he has quit smoking. Here’s a piece of very good advice: even if he accidentally/willfully takes a cigarette, it is not the end of the world – he can start the cessation all over again. He must persevere with the best support until he defeats this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. Everyone who can help him should be involved until he succeeds. If all this does not work, you can admit him into a rehabilitation center and let him stay there until he has completely quit the habit.

You seem to be upset with the world for something, because of which you don't love this world. If you remain aloof, you will soon fall ill and become very unhappy because we humans are social by nature and need to remain socially connected. Please see a counsellor to help you overcome your problems with the world. You can contact me on private chat.

You need not worry if you have no problem in going out when there is the need for. You are worried and over worked because of isolation in one place. At least once a week you go for a film and every evening you take a walk which is good for physical and mental health/ what is your age and how about your family life / are you married or live with parents. Keep in touch.

Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.

SymptomsSymptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:1. Social withdrawal2. Irritability3. Feeling of worthlessness4. Difficulty in concentrating5. Reduced ability to function during events6. Continuous feelings of sadness7. Physical complaints

Causes1. Depression in children can be caused due to the combination of a multitude of reasons.2. Children from a family history of depression are more likely to be suffering from depression.3. Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.4. Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.5. Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.

TreatmentThe treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.

In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.Some of the signs are mentioned below:1. Changes in eating, sleeping or activities2. Isolating oneself even from family3. Talking of suicide, feeling helpless or hopeless4. Increased risk taking behavior5. Substance abuse6. Giving away possessions

Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.

The medicines like librax and lonazep are temporary fixing for your problem. You need to be on anti anxiety anti depressant medications like ssri, you need to see another psychiatrist as the anxiety is not because of you thinking about your problem, it is a neurochemical imbalance in your brain which is a reason for your problem. You may consult me.

Though your question gives limited and incomplete information about your age etc, I can tell you that you are unnecessarily worried and creating the performance anxiety. This is by and large usual happening in many people because of self assessment of their sexuality and thereby creating low confidence for sexual performance. It happens because individual's awareness in quality sexuality is pretty low and this type of mindset leads to such anxiety and panic. Just relax and be calm, first learn basics in quality sexuality from an expert sexologist either me or anyone nearby, either online or in person. Also please please stop assuming your sexual performance and potential before properly understanding from an expert. I feel you will be fine.

Hi mr, lybrate-user,
its your age to sit back and relax, where does the need to work comes from? if you still want to work sit with a counselor and make alist of skills and attributes you will require for certain kind of jobs. Do job search through online portals if you do not get desired job do not lose patience you may in the mean time take up a temporary job while searching for other. You may need some relationship counseling with regards to your daughter to discuss the matter in detail. Consult with me for same.
For diabetes you can try home remedies side by side flax seed, bilbery plant, cinnamon etc.

Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

Are you trying to preempt depression or do you already have depression and want out of it? I am assuming it is the latter. You must go for counseling and if that person recommends medication you must visit a doctor. Whatever happens do not discontinue the counseling.You can follow these simple rules: Have a good night?s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love: find someone to love and to love you back. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly.